Individual
DR. MARY R COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4166 BUFORD HWY NE, PLAZA FIESTA MALL SUITE S6-T5, ATLANTA, GA 30345-1081
(404) 855-3888
Mailing address
1015 TRAVELERS TRL NW, KENNESAW, GA 30144-2870
(770) 815-1916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002681
GA
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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